Bilateral Proximal Humerus Fracture with Anterior Shoulder Dislocation and Unilateral Chronic Bankart Lesion – A Case Report

Abstract

Introduction: Anterior shoulder dislocation is a common presentation in orthopedic emergency but a bilateral fracture dislocation is a rare entity. Only a few cases have been reported in the literature and their management is still not clear. We present a bilateral four part fracture dislocation with Bankart lesion on right side in a 48 years old. Case Report: A 48-year-old male presented with bilateral proximal humerus fracture with anterior shoulder dislocation following a seizure. He was managed with bilateral PHILOS and Latarjet procedure on right side for a chronic bony Bankart lesion. Superficial infection on left side was managed with debridement. After 1 year period patient had a satisfactory outcome with DASH score of 19.2. Conclusion: Bilateral four part proximal humerus fracture with shoulder dislocation is encountered rarely. Recurrent dislocations results in chronic glenoid bones loss which needs fixation along with fracture. Addressing both sides subsequently or in a single sitting is still debatable. Keywords: Bilateral humerus fracture, anterior dislocation, Bankart repair.

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

“…The authors concluded that coracoid osteotomy prevents re-dislocation and enhances the functional status of the shoulder joint [ 14 ]. Open reduction along with Latarjet is further supported by the case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [ 15 ].…”

“…case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [15].…”

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

“…The authors concluded that coracoid osteotomy prevents re-dislocation and enhances the functional status of the shoulder joint [ 14 ]. Open reduction along with Latarjet is further supported by the case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [ 15 ].…”

“…case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [15].…”

Bilateral Shoulder Anterior Dislocation with Proximal Humerus Fracture After Seizure Attack Post Covid-19 Vaccine

“…From our analysis of the literature, the mean age of patients reported bilateral anterior dislocations was 32.5 years with standard deviation of 8.89 years (Table 1). The youngest patient was 20 years old [26] and the oldest was 48 years old [4] . All patients reported in the reviewed literature included our study were males which confirms the previous results of other studies showed predominance of men over female in having bilateral anterior dislocations [1,18] .…”

“…Bilateral dislocations of the shoulder are one of the rarest medical conditions however, they arise on the joint the most subject to dislocations [1][2][3] . Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] .…”

“…Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] . Fractured neck of the humerus may be associated with simultaneous shoulder dislocation either in the posterior or anterior dislocations [2] .…”

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

“…The authors concluded that coracoid osteotomy prevents re-dislocation and enhances the functional status of the shoulder joint [ 14 ]. Open reduction along with Latarjet is further supported by the case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [ 15 ].…”

“…case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [15].…”

Bilateral Shoulder Anterior Dislocation with Proximal Humerus Fracture After Seizure Attack Post Covid-19 Vaccine

“…From our analysis of the literature, the mean age of patients reported bilateral anterior dislocations was 32.5 years with standard deviation of 8.89 years (Table 1). The youngest patient was 20 years old [26] and the oldest was 48 years old [4] . All patients reported in the reviewed literature included our study were males which confirms the previous results of other studies showed predominance of men over female in having bilateral anterior dislocations [1,18] .…”

“…Bilateral dislocations of the shoulder are one of the rarest medical conditions however, they arise on the joint the most subject to dislocations [1][2][3] . Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] .…”

“…Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] . Fractured neck of the humerus may be associated with simultaneous shoulder dislocation either in the posterior or anterior dislocations [2] .…”

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

“…The authors concluded that coracoid osteotomy prevents re-dislocation and enhances the functional status of the shoulder joint [ 14 ]. Open reduction along with Latarjet is further supported by the case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [ 15 ].…”

“…case described by Anurag et al where they performed Latarjet for chronic bony Bankart in a 48-year-old lady with bilateral proximal humerus fracture and anterior dislocation following a seizure attack [15].…”

Bilateral Shoulder Anterior Dislocation with Proximal Humerus Fracture After Seizure Attack Post Covid-19 Vaccine

“…From our analysis of the literature, the mean age of patients reported bilateral anterior dislocations was 32.5 years with standard deviation of 8.89 years (Table 1). The youngest patient was 20 years old [26] and the oldest was 48 years old [4] . All patients reported in the reviewed literature included our study were males which confirms the previous results of other studies showed predominance of men over female in having bilateral anterior dislocations [1,18] .…”

“…Bilateral dislocations of the shoulder are one of the rarest medical conditions however, they arise on the joint the most subject to dislocations [1][2][3] . Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] .…”

“…Moreover, this condition is most of the time presented as post-traumatic or secondary to convulsive seizures [2,4] . Anterior dislocation is rarer that posterior dislocation and few cases with anterior dislocations are reported in the literature [3,4] . Fractured neck of the humerus may be associated with simultaneous shoulder dislocation either in the posterior or anterior dislocations [2] .…”